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Assist
Extemporaneous
Preparations
1. Prepare for production process
Objectives: At the end of this chapter you
will be able to:
 Describe the importance of
extemporaneous compounding and
outline its process
 Clean compounding areas and equipment
and maintain personal hygiene as per the
product requirements & procedure
 Apply right dressing code as per the
product and institutional requirement
09/26/2022
2
Compounding
 Compounding is the act of preparing,
mixing, assembling, packaging,
and/or labeling a drug or device as
the result of
a practitioner’s prescription drug
order or
initiative based on the practitioner–
patient–pharmacy professional
relationship or
for the purpose of research,
teaching, or chemical analysis
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3
Cont…
Extemporaneous
compounding Manufacturing
09/26/2022
4
 is the timely preparation
of a drug product
according to
 a physician’s
prescription
 a drug formula or
 a recipe in which
calculated amounts of
ingredients are made
into a homogenous
(uniform) mixture
 is the production
 promotion and
 marketing of drugs
or devices
 may start from
extraction
Importance of Extemporaneous
compounding
Reasons for Extemporaneous
Compounding include;
a. Unavailable dosages, strengths and
routes of commercial products
b. Dilution of adult doses of medications
to Pediatric/Geriatric strengths
c. Conversion of solid dosage forms to
solutions or suspensions
d. Combination of topical dermatological
products not available by the
manufacturer 09/26/2022
5
The compounding process
 the compounder should adhere
strictly to procedures
 compounder experience and
expertise are signifcant factors for
the production of safe and efective
formulations due to
 diversity of the types and number of
preparations
09/26/2022
6
Standards for extemporaneous
compounding
The products produced in the
pharmacy must be
suitable for use
accurately prepared
have assured quality
09/26/2022
7
consideration during extemporaneous
compounding
Personal hygiene and protective
equipment
 hands washed, ensuring any open cuts are
covered
 Contact of hands with hair & mouth , biting
nails must be avoided
 Use protective equipment as per
requirements
 No canvas shoes, saddle shoes, open toe, or
sandals are allowed
Clean work area and equipment
09/26/2022
8
Cont…
09/26/2022
9
Appropriate work area
 Adequate lighting and ventilation
Label preparation
 Prepare label before starting the
compounding procedure…this
eliminate the possibility of unlabeled
product will be left on the bench or
given to the wrong patient
 Can be type written or computer
generated
The details, which must appear on the label of
a dispensed medicine
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10
 The name and
address of the
pharmacy
 The patient’s name
 Name of the
preparation
 Quantity of the
preparation
 Formula of the
preparation (for
unofficial
preparations only)
 The strength of the
preparation
 Use of the preparation
 Instructions for the
patient
 The date of
compounding
 Beyond used date
(shelf life)
 Storage conditions
 Additional label
( Precautions , Advise )
Special labeling instructions for particular
type of dosage form
Sr.
No.
Name of
preparation
Labeling instructions
1 Aerosol inhalation Pressurized containers keep away from
heat source.
Shake before use.
Do not exceed the prescribed dose follow
the instructions
2 Capsules Swallow with a draught of water
3 Creams For external use only, Store in a cool
place
4 Dusting powders For external use only
Not to be applied on open wound or to
raw or weeping surface.
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11
Cont…
6 Ear drops For external use only
7 Emulsions Shake the bottle before use
8 Enemas For rectal use only
Shake well before use
Warm to body temperature before use.
9 Eye drops To be used in 30 days after frst opening
10 Eye lotions To be used with 24 hrs after frst opening
11 Gargles and
mouth
washes
Not to be swallowed in large amounts
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Cont…
12 Granules To be dissolved or dispersed in water
before taking
13 Inhalation Shake the bottle before use
14 Nasal drops For nasal use only
15 Ointments For external use only
16 Paints For external use only
17 Pessaries for vaginal use only
store in cool place
18 Pastes For external use only
19 Solutions For external use only
20 Suppositori
es
For rectal use only
Store in a cool place
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Cont…
21 Tablets
1. For soluble or dispersible tablets
Dissolve or dispensed
in water before taking
2. For chewable tablets Chew before
swallowing
3. For sustain release, Enteric coated
or unpleasant tasting tablets
Do not crush or chew
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The beyond-use date (BUD)
 the date after which a compounded
preparation is not to be used
 determined from the date of compounding
 Compounders should consult and apply drug-
specifc and general stability documentation
and literature when available when assigning
BUD
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Cont…
For a non-sterile compounded preparations
of absent stability information and
appropriately stored; the following BUD are
assigned
For Non-aqueous Liquids and Solid
Formulations:
 Where the compounded drug Product is the
source of Active ingredient-
 BUD is not later than 25% of the time
remaining until the product’s expiration
date or
 6 months, whichever is earlier 09/26/2022
16
Cont…
For Water-Containing Formulations
(prepared from ingredients in solid
form):
 BUD is not later than 14 days for liquid
preparations
For All Other Formulations:
 BUD is not later than the intended duration of
therapy or 30 days, whichever is earlier
 These beyond-use date limits may be
exceeded when there is supporting valid
scientifc stability information that is directly
applicable to the specifc preparation
 (i.e., the same drug concentration range,
09/26/2022
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Weighing and measuring procedure
 During weighing to avoid any accidental cross-over
of ingredients
incorporate a weighed or measured ingredient into a
product immediately
If this is not possible, place each on a piece of
labeled paper
Premises standards
 Premises’ decoration should be of a good basic
standard
 floor- covered, smooth & cleanable
 Sinks- have a supply of hot and cold water
 Refrigerator – functioning & clean
 There should be a supply of mains (potable) water
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Premises standards
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Premises standards
The walls, floor ceilings, and floor of a
compounding laboratory shall be
 smooth
 have no cracks or holes
 painted and/or made of washable material
The compounding room shall have adequate
light and ventilation (ventilator, etc.)
The compounding room should be protected
from direct sunlight
The window(s) of the compounding room
shall be high enough and sealed
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Avoidance of contamination
guidelines:
 Ensure all equipment is clean and dry prior to
use
 Keep the dispensing area clear of
unnecessary items
DO NOT
 leave lids of stock bottles
 return material to stock containers once
removed
 leave weighed and measured items unlabeled
on the work surface
 allow raw materials or the fnal product to
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Suitable record keeping
 poor record keeping can lead to
dispensing errors
 Therefore, the completion of the record
is safety check for the patient
Extemporaneous record sheets should
be kept for a minimum of two years
All records and reports should be readily
available in the pharmacy for
authorized inspection during the
retention period
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Compounding Process Recoding Form (Compounding sheet)
Name of the dispensary/health institution __________________________Date _______________
Batch number/control number_____________________________ Batch quantity______________
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Suitable record keeping
Storing or transporting the compounded product
 Appropriate storage requires
 environmental, security, and safety
considerations
 Certain medications require freezing,
refrigeration, light-protection or room-
temperature conditions
 Certain toxic chemicals should be kept
inside cabinets and kept low to the
ground
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General Procedures for Compounding
1. Receive, validate and interpret the prescription
as per the Standard Operating Procedures
(SOP) for dispensing
2. Ensure that the compounding area, equipments
and containers are ready for the process and
don’t compromise the quality of the fnal
product
3. Calculate the quantity of each ingredient
accurately
4. Weigh and measure the ingredients necessary
for compounding of the product as per the
procedures for weighing and measuring,
respectively 09/26/2022
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General Procedures for Compounding
7. Close the container and shake well as appropriate
8. Assign beyond-use date, prepare and attach a
proper label on the product container
9. Clean all the equipments used for the compounding
process and return to their original place
10. Clean the working table
11. Record the compounding process on the
Compounding Sheet
12. Dispense the product to the patient with proper
counseling
13. Record the prescription on the Compounding
Prescription Registration Book
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Equipments used in pharmaceutical compounding:
Mortars and pestles –two types
Glass –mortar and
pestle
Porcelain - mortar
and pestle
09/26/2022
27
 very smooth surface
 less suitable for size
reduction of powders
 efficient when grinding
crystals into powder form
 particularly useful when
dissolving small amounts
of medicament
 Suitable for absorbable &
staining dyes e.g.
potassium permanganate
 much larger than their
glass counterparts…used
for larger scale production
 for the size reduction of
powders
 for mixing powders with
other powders
 for mixing powders with
liquids
 for the preparation of
emulsions
Cont…
Tiles and spatula
 used to prepare ointments by means
of trituration or levigation
 Tiles are usually made of glazed
porcelain or glass
 Spatula is used to pick solid or semi
solid ingredients & for levigation
09/26/2022
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Cont…
Stirring rods
 used to agitate liquids to speed up the
process of dissolution of solids
 between 20 and 30mm in length and made
of glass
 Take care not to stir too vigorously to
prevent break
09/26/2022
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Cont…
Suppository moulds
 Traditionally, suppository moulds come in a
range of sizes: 1 g, 2 g, 4 g and 8 g
 These weights are nominal and imply
calibration with Theobroma Oil BP
 For accurate calibration a mould would
need to be flled with base alone, the
individual suppositories formed weighed,
and the mean weight taken as the true
capacity
09/26/2022
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Cont…
Water baths
 Is a container flled with heated water
 used to melt or heat reagents as
required
 The item to be melted or heated is
placed in an evaporating basin over a
water bath containing hot water and
allowed to melt or get heated
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Triple beam balance digital balance
09/26/2022
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09/26/2022
33
Watch glasses
 is used as a surface
to evaporate a liquid
 to hold solids while
being weighed
 for heating a small
amount of
substance
 as a cover for a
beaker
Measuring apparatus
09/26/2022
34
 Made of glass or
plastic
 used to measure
liquid
 Several in type
Cylindrical
graduates
 Conical
graduates
Beakers
Graduated
pipettes
Bottles
Burette
Dropper
Cont…
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Cont…
09/26/2022
36
Role of Pharmacy Technicians in Compounding
 The securing of all prescribed medications or devices from
inventory
 Measuring fnished dosage forms (known as “quality
sufficient” or “ q . s.”)
 Collecting ingredients for preparations
 Determining amounts of ingredients to be compounded
 Compounding sterile preparations using appropriate aseptic
technique, equipment, and devices
 Compounding cytotoxic or other hazardous preparations
 Disposing of hazardous or non-hazardous waste materials
 Packaging of fnished preparations
 Generating accurate and complete labels and affixing them
appropriately
 Storing all medications correctly prior to dispensing
09/26/2022
37
2. QUALITY CONTROL IN
PHARMACEUTICAL COMPOUNDING
Introduction
 Quality control and assurance is
designed to achieve
 the utmost quality
 purity
 efectiveness
 safety concerning drug products
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38
Quality Assurance (QA)
is all system which ensures activities involving:
Planning
quality control
quality assessment
reporting and
quality improvement
 to ensure that a product or service meets
defned standards of quality with a stated
level of confdence
09/26/2022
39
Quality control (QC):
is overall system of activities concerned
with
Sampling
specifcation
testing
Organization
Documentation
release of procedure to ensure the
quality of the product
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GMP (Good Manufacturing
Practice
 is part of quality assurance that
ensures products are consistently
produced and controlled to the
quality standard appropriate to their
intended use
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Relationships of QA, QC & GMP
GMP is a component of quality
assurance and QC is a component of
GMP Or
GMP and QC are components of quality
assurance
09/26/2022
42
Quality assurance principles
 Q A is a wide-ranging concept covering all
matters that individually or collectively
influence the quality of a product
 It is the totality of the arrangements made
with the objective of ensuring that
pharmaceutical products are of the quality
required for their intended use
 Quality assurance therefore incorporates
GMP/GCP, QC and other factors, including
those outside the scope of this guide such
as product design and development
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The system of Q A should ensure that:
a. Pharmaceutical products are designed
and developed as requirements of
GMP/GCP and
 other associated codes such as those of
good laboratory practice (GLP)
b. Production and control operations are
clearly specifed in a written form and
GMP/GCP requirements are adopted
09/26/2022
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c. Managerial responsibilities are clearly
specifed in job descriptions
d. Arrangements are made for the
manufacture, supply and use of the
correct starting and packaging materials
e. All necessary controls on starting
materials, intermediate products, and
bulk products and other in-process
controls, calibrations, and validations
are carried out
09/26/2022
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f. The fnished product is correctly
processed and checked, according
to the defned procedures
 Pharmaceutical products are not
sold or supplied before the
authorized persons have certifed
 that each production batch, produced
and controlled in accordance with the
requirements of the marketing
authorization
09/26/2022
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g. Satisfactory arrangements should exist to
ensure the pharmaceutical products are stored,
distributed, and subsequently handled so that
quality is maintained throughout their shelf-life
 There should be procedure for self-inspection
and/or quality audit that regularly appraises
the efectiveness and applicability of the
quality assurance system
h. Deviations are reported, investigated and
recorded
i. There is a system for approving changes that
may have an impact on product quality
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j. Regular evaluations of the quality of
pharmaceutical products should be
conducted with the objective of
verifying the consistency of the
process and ensuring its continuous
improvement
09/26/2022
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Good compounding/manufacturing practices (GCP/GMP)
 GCP/GMP is aimed primarily at
diminishing the risks inherent in any
pharmaceutical production
 Such risks are essentially of two types:
1. cross contamination (unexpected
contaminants) and
2. mix-ups (confusion) caused by, for
example, false labels being put on
containers
09/26/2022
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(GCP/GMP)…
Under GCP/GMP:
 All compounding or manufacturing
processes are clearly defned,
 systematically reviewed in the light
of experience
 Qualifcation and validation are
performed
09/26/2022
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(GCP/GMP)…
All necessary resources are
provided :-
I. qualifed and trained personnel
II. Adequate premises and space
III. Suitable equipment and services
IV. Appropriate materials, containers
and labels
V. Approved procedures and
instructions
VI. Suitable storage and transport
09/26/2022
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(GCP/GMP)…
Instructions and procedures are written
in clear and unambiguous language
Operators are trained to carry out
procedures correctly
Records are made (manually and/or by
recording instruments) during
manufacture to show that all the steps
required by the defned procedures and
instructions have in fact been taken
09/26/2022
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(GCP/GMP)…
Records of complete history of a batch to be
traced, are retained in a comprehensible and
accessible form
A system is available to recall any batch of
product from sale or supply
Complaints about marketed products are
examined
the causes of quality defects investigated,
and
appropriate measures taken in respect of the
defective products to prevent recurrence
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Continuous quality improvement
 Before dispensing, the pharmacist should review
each step in the preparatory, compounding &
make fnal check
Aspects to be reviewed in quality control
include:
 Appropriateness of ingredients, and equipments
used
 correctness of calculations
 Accuracy of measurements
 Appropriateness of formulation for intended
use
 stability limits of the preparation
09/26/2022
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Cont…
 The review of the fnal check is intended
to verify consistency with standard of:
The calculated yield is consistent with
the actual yield
The tolerance of variation
The physical characteristics (clarity,
color, and odor)
suitability of label & packaging
Documentation is appropriate
Adequacy of counseling
explicit storage and administration
09/26/2022
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3. OBTAIN AND PROCESS RAW
MATERIALS
Introduction
 Drug substances are seldom administered
alone
 Selective use of nonmedical agents, referred
to as pharmaceutical ingredients or
excipients, produces dosage forms of
various types
 Drug = API (Active Pharmaceutical
Ingredient) + Non-API (Excipient)
Non-API: incorporated to aid some
physicochemical process of drug
manufacturing; has no pharmacological
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Commonly used pharmaceutical ingredients
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57
a. Pharmaceutical
solvents
b. Preservatives
c. Anti-oxidant
d. Bufers and pH
adjusting
agents
e. Viscosity
inducing agents
f. Emulsifying
g. Colorants
h. Flavorants and
Sweeteners
i. Disintegrants
j. Adhesives or
Binders
k. Diluents or
Fillers
Pharmaceutical solvents:
 Dissolve another substance in preparation
 selection depends on
 knowledge of the chemical
characteristics of drugs
 Solubility factors (size, Temperature, pH,
extent of agitation, Clarity, low toxicity,
viscosity, compatibility, chemical
inertness, palatability, odor, color, and
economy)
The most common solvent is water
09/26/2022
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Preservatives:
 Prevents the formulation from chemical,
physical and microbial degradation
 E.g. Benzoic acid, boric acid, Sorbic acid,
Benzalkonium Chloride, Phenols, Alcohols
Anti-oxidant:
 Prevent the degradation of a drug by oxidation
Have higher oxidative potential or
inhibit free radical-induced drug decomposition
Employed in low concentrations (<0.2%w/w)
E.g. Ascorbic acid, sodium bisulfate, sodium
formaldehyde, sodium meta bisulfte
09/26/2022
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Bufers and pH adjusting agents:
 A bufer resists changes in PH
 It is composed of a weak acid and its conjugate
base or a weak base and its conjugate acid
 adjust it upon addition of an acid or base to:
Bufers are added as pharmaceutical ingredient
to:
 Increase comfort to the site of administration
 Render the formulation more stable
 Enhance the aqueous solubility of the drug
 Enhance the drug’s bioavailability
 Maximize preservative efficacy
E.g. Potassium meta phosphate, Potassium
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Viscosity inducing agents:
 Render resistance to flow for Suspensions,
ophthalmic solutions, topical creams and oral
solutions
 E.g. Alginic acid, Bentonite, Carbomer, sodium
carboxy methyl cellulose, Sodium alginate,
Tragacanth, glycerol etc
Emulsifying agents and Surfactant:
 Promote and maintain dispersion of liquid in
another liquid in which it is immiscible
(Suspension and emulsion)
 E.g. Tragacanth, Bentonite, Polysorbate 80,
Accacia,
09/26/2022
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Colorants:
 Colorants are added to impart color
to liquid and solid preparations
For esthetics and patient compliance
 For identifcation & to minimize the
medication errors
E.g. Titanium dioxide, Calamine, Azo
dye, Nitroso dyes, xanthenes, Nitro
dyes
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Flavorants and Sweeteners:
 Flavorants- impart a pleasant flavor
 Sweeteners- Impart sweetness to the
preparation
 E.g. Aspartame, Dextrose, Glycerin, Mannitol,
Saccharin sodium, Sorbitol, Sucrose
Disintegrants:
Overcome the cohesiveness imparted during
compression
 It increases break up → increase surface area →
increase dissolution → increase absorption
 Eg. Starch, Alginic acid, Polacrilin potassium,
Sodium alginate, Microcrystalline cellulose
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Lubricants:
 Reduce friction during tablet
compression
 Enhance the flow of the material
 Minimize wear of the part of the
machines
 Prevent fll material from sticking
 Produce tablets with sheen
 E.g. Fine silica, magnesium stearate,
Talc
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Adhesives or Binders:
 Promote adhesion in Granules and
tablets
 E.g. Acacia, Alginic acid,
Carboxymethylcellulose sodium,
Compressible sugar, Ethylcellulose,
Gelatin, Liquid glucose,
Methylcellulose, Povidone,
Pregelatinized starch, dibasic calcium
phosphate, polyvinyl pyrollidine.
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Other pharmaceutical ingredients:
 Ointment bases-Parts of an ointment which
is used as a Vehicle
 Suppository bases-Vehicles for
suppositories
 Gelling agents-They are ingredients that
give the preparation a gel like consistency
 e.g.: Tragacanth- bassorin pastes, Sodium
alginate, Pectin, Starch
 Diluents or Fillers: Create tablet of proper
size and consistency
 Quantity of active ingredient is small or
difficult to compress so that diluents and
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Packaging and pre-pack of pharmaceutical
products
 Packaging is the science, art and technology
of enclosing or protecting products for
distribution, storage, sale and use
Pharmaceutical Packaging is an economical
means of providing
 Protection
 Identifcation/information
 Containment
 convenience and compliance for a drug
product during storage, carriage, display and
use until its day of expiry
09/26/2022
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Cont…
 packaging standards required to comply
with requirements, such as
efficacy, integrity, purity, safety,
and stability
 For these reasons packaging technology
should be based on understanding of:
 characteristics of formulations,
 dosage forms
 physical and chemical properties of the
drug substance
09/26/2022
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Cont…
 Packaging involves various types or
categories of containers.
 A container is defned as “that which
holds the article and is or may be in
direct contact with the article”.
 The closure is “a part of the
container”
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Desirable qualities of a container
 Protect the contents from physical
and mechanical hazards. i.e.
Vibration, compression, shock,
abrasion, punctures etc.
 No reaction with the content
 Should not release any chemical
 No adsorption of the product
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 Should not impart taste or odors and
not shed the particles
 Should be nontoxic
 Should give convenient and easy with
drawl of the required dose
 Be capable of withstanding extremes
of temperature and humidity
 Protect the contents from both water
loss and gain
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 Protect the content from loss of volatile
materials.
 Be sufficiently transparent to permit the
inspection of the content
This may be impractical for drugs sensitive to
light
 Be easy to label and thus to identify the
product
 Be cheap and economical
 Adoptable to certain high speed flling
equipment
09/26/2022
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The purposes of packaging and package
labels
Protection: most critical factor as it
controls the total shelf-life of the product
 Physical protection
 Barrier protection - A barrier from
oxygen, water vapor, dust, etc., is often
required
Permeation is a critical factor in design
Some packages contain desiccants or
oxygen absorbers to help extend shelf life
09/26/2022
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Cont…
 Containment or agglomeration - E.g.
Liquids, powders, and granular materials need
containment
Information transmission
to encourage marketing
Security- Packages can be made with
improved
 tamper resistance
 pilferage resistance -electronic article
surveillance tags that can be activated or
detected by devices at exit points
09/26/2022
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Cont…
Convenience - in distribution,
handling, stacking, display, sale,
opening, reclosing, use, dispensing
and reuse
Offer consumer safety: -warn of
hazards
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Packaging Types
Based on the type of product
packaged:
 medical device packaging
 bulk chemical packaging
 pharmaceutical packaging etc
Based on layer or function:
 Primary
 Secondary
 tertiary
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A primary pack (container)
 directly in contact with the product
(e.g. bottle, cap)
 main functions- to contain and
restrict any chemical, climatic,
biological or occasionally mechanical
hazards
-pack of 'use‘- means of drug
administration
09/26/2022
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 can be made of glass, plastic, single
or laminated flexible material and
metal
 Examples of primary packaging
materials include:- Containers,
Ampoules, Vials, Dosing dropper,
Closures (plastic, metal), Syringe,
Strip package, Blister packaging
09/26/2022
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Primary packs
09/26/2022
79
ii. Secondary packaging
 not in direct contact with the product
 include an over-pack, over-wrap or pouch
 provide moisture, gas, light or microbial
protection that is not provided by the primary
container
 may be used for the fnal market presentation
 often used to carry the required labeling for
the product
 can provide protection against damage in the
handling and distribution system
09/26/2022
80
09/26/2022
81
iii. Tertiary packaging
 used for bulk handling, warehouse
storage and transport shipping.
 The most common form is a
palletized unit load that packs tightly
into containers
09/26/2022
82
09/26/2022
83
USP classifcation of containers
 based on their ability to protect their
contents from external conditions
A well-closed container: protects
from extraneous solids and from loss
under ordinary conditions of
handling, shipment, storage and
distribution
09/26/2022
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A tight container: protects the
contents from
contamination by extraneous liquids,
solids or vapors
from loss of the article
from eforescence
Deliquescence
evaporation
is capable of tight re-closure
09/26/2022
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Hermetic sealed containers:
impervious to air or any other gas under
pharmaceutical preparations
Sterile hermetic containers generally hold
parenteral preparations
may be:
Single dose containers - fusion sealed
-cannot be resealed
e.g. ampoules and preflled syringes and
cartridges
09/26/2022
86
Multi dose container- commonly called
vials
A light–resistant container: protects the
contents from the efects of light
 by virtue of the specifc properties of the
material of which it is composed
 clear and colorless or translucent container
of opaque covering
 by adding ultraviolet absorbing agents to
plastic to decrease the transmission of short
ultraviolet rays
09/26/2022
87
Tamper evident containers: ftted
with a device that irreversibly
indicates if the container has been
opened
Child resistant containers: one
that is signifcantly difficult for
children under 5 years of age to open
or to obtain a harmful amount of its
contents within a reasonable time
09/26/2022
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Strip packs: have at least one
sealed pocket of material
That each pocket containing a single
dose of the product
They are common ways of unit
packaging of a solid drug formulation.
The packaging materials may be
combinations of paper, foil, plastic, or
cellophane
09/26/2022
89
 Pressurized packs (aerosol
containers): expel the product
through a valve
 Original packs are pharmaceutical
packs that are commercially produced
and intended for fnite treatment
periods
 Better to dispense medication in the
same type and quality of container as
that used by the manufacturer
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90
Inventory control
Role of the pharmacy Technician in
Inventory control
 Following the policies and procedures of
inventory control
 Providing accurate inventory records
 Determining sources of pharmaceutical
products
 Identifying and ordering needed
pharmaceutical products
 Receiving and storing pharmaceutical
products
09/26/2022
91
Procedures for ordering and
receiving raw materials
Receiving
 follow the pharmacy’s procedures for
receiving raw materials
 The supplier includes an invoice, which is a
listing of the items
 Checked item against invoice to make sure
that nothing is missing, and un ordered is
included
 document the receipt of goods by entering the
information into a computer, or by scanning
bar codes.
09/26/2022
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Returning Items
 After checking all items against the orders
that you receive, return
 Defective
 Expired
 more than needed items using return form
 Information's that must be included on a
return form:
 Original purchase order (P.O.) number
09/26/2022
93
 Item number
 Quantity
 Reason for return
 Similar procedures are followed for obtaining
and returning raw materials for compounding.
 IFRR form is used for this purpose
09/26/2022
94
COMPOUNDING EXTEMPORANEOUS
PRODUCTS
Objectives : to
 Discuss diferent Compounding
methods
 Explain Storage conditions of
compounded products
 Apply appropriate Beyond use dates
on labels
09/26/2022
95
Compounding methods
Compounding of pharmaceutical
solutions
A solution- is a thermodynamically stable
 Homogeneous/one-phase system/composed
of two or more components
 one of which is completely dissolved in the
other
 pharmaceutical solutions are composed of
a solid, liquid, or gas dissolved in a liquid
solvent
09/26/2022
96
Cont…
Solute- is the component present in the
smallest amount e.g.AI, flavoring or
coloring agents, preservatives, and
stabilizers or bufering salts
solvent is the larger, liquid component
E.g. -water, ethanol, glycerin, alcohol
-aromatic waters, glycerol, syrup,
-propylene glycol, isopropyl
alcohol, etc.
09/26/2022
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appropriate solvent:-
 completely dissolve the drug and
other solid ingredients
 be nontoxic and safe for ingestion or
topical application
 be aesthetically acceptable to the
patient in terms of appearance,
aroma, texture, and/or taste
09/26/2022
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 Water is the vehicle of choice for the
majority of pharmaceutical solution
because
 Available
 relatively inexpensive
 Palatable
 non- toxic for oral use
 non-irritant for external use
 compatible with wide range of
substances
09/26/2022
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Types of solutions
1. Solution taken orally: mixtures,
elixirs, syrups, linctuses, draughts
2. Solution used in mouth and throat:
- mouth washes and gargles, throat
paints, throat sprays
3. Solution instilled into body
cavities: douches, enemas, eardrops,
eyes drops, nasal drops, nasal sprays
4. Solution applied to body surface:
collodions, liniments, lotion and paints
09/26/2022
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General Method of preparation of Solution
1. Write out the working formula either
from the prescription (unofficial) or
from an official text (official)
2. Calculate the quantities required for
each ingredient in the formula to
produce the required fnal volume
3. Complete all sections of the product
worksheet
4. Prepare a suitable label
5. Weigh all solids
09/26/2022
101
Cont…
6. Identify the soluble solids and
calculate the quantity of vehicle
required to dissolve the solids fully
 If more than one solid is to be
dissolved, they are dissolved one by
one,
 the least soluble frst
 dissolve in a glass /plastic/ beaker,
not a conical measure
 solubility of the soluble solids will be
dependent on the vehicle used
09/26/2022
102
Cont…
7. Transfer the appropriate amount of
vehicle to a glass beaker
8. If necessary, transfer the solid to a
glass mortar and use the glass pestle
to reduce particle size to aid
dissolution
9. Transfer the solid to the beaker and
stir to aid dissolution, rinse mortar if
used with a little vehicle
10.When all the solid(s) has/have
dissolved, transfer the solution to the
09/26/2022
103
Cont…
11.Rinse out the beaker in which the
solution was
made with a portion of the vehicle,
and transfer the rinsing’s to the
conical measure.
12.Add any remaining liquid ingredients
to the conical measure and stir
13.Make up to fnal volume with
remaining vehicle
14.Transfer to a suitable container, label
and
09/26/2022
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Aromatic water
 Aromatic waters are aqueous solutions
usually saturated of volatile oils or
other volatile substances that are
characterized by very low water
solubility- E.g. Chloroform
 Aromatic waters are used externally
as perfumes (e.g. Rose water)
Internally- as flavoring agents
peppermint water, cinnamon water
-used as carminative
 chloroform water -used in expectorant
09/26/2022
105
Spirits
 are alcoholic or aqueous alcoholic solutions
of volatile substances
 Like the aromatic water the active
ingredients in the sprits may be a solid,
liquid or gas
 The volatile substance in the majority of
case is volatile oils
 Some used internally/by inhalation medically
 But a large number are used as flavoring
agents
 Spirits should be kept in well-closed
containers and stored at temperature not
09/26/2022
106
Tinctures
 alcoholic or hydro alcoholic solution
 extracted from natural sources or of pure
chemical(e.g. iodine tincture) merely dissolved
in these solvent systems
Tinctures vary widely in
 method of preparation
 the strength of their volatile ingredients
 alcoholic content
 intended use
Tinctures are prepared by a number of
processes:
 maceration (process M); percolation (process
09/26/2022
107
Syrups
 concentrated aqueous solutions of
sucrose, other sugars or sweetening
agents
 small quantities of suitable polyhydric
alcohols may be added to retard
crystallization or to increase the
solubility of the other ingredients
 Syrups usually contain aromatic or
other flavoring materials
09/26/2022
108
Elixirs
 is a liquid oral preparation that usually
contains either potent or unpleasant-
tasting drugs
 The formulation is clear and generally
contains a high proportion of sugar or
other sweetening agent, included to
mask ofensive or nauseating tastes.
 Pediatric elixirs are usually formulated
with fruit syrup as a base flavoring
agent
09/26/2022
109
Linctuses
 is a liquid oral preparation that is
chiefly used for
a demulcent
expectorant
sedative purpose
Principally used in the treatment of
cough
 A linctus is intended to be sipped
slowly and allowed to trickledown the
throat in an undiluted form 09/26/2022
110
Suspension
 Suspension - dispersed systems in which
fnely divided drug practices (called the
disperse phase) are distributed thought
out a vehicle (called dispersion medium or
continues phase)
 in which the drug exhibits a minimum
degree of solubility.
 include powders in dry from to be place in
suspension and drugs suspended in liquid
vehicles
Major applications: 09/26/2022
111
General methods of preparation of suspension
1. Carefully tare(calibrate) the container to
the required volume
2. Finely powder any solid ingredient not
already in fne powder
3. Mix the insoluble powders in a mortar
adding ingredients in order of increasing
of bulk using amounts approximately
equal to bulk already in the mortar
(geometric dilution)
4. Add enough vehicles to produce a smooth
paste 09/26/2022
112
Cont…
6. Dilute with a vehicle until pourable
Examine the suspension critically and
if it contains foreign particle strain
through muslin
7. Transfer it to the tarred bottle
8. Add any volatile solid ingredients
previously dissolved in some of the
vehicle and mix well
9. Add any liquid ingredients raise the
measures and mix well after each
09/26/2022
113
Cont…
10.Rinse the mortar and pestle with
successive volumes of the vehicle
until they are quite clean transferring
the rinsing to the bottle
11.Make up to volume with the vehicle
and shake thoroughly
09/26/2022
114
Compounding of Emulsions
 An emulsion is a disperse system
consisting of two immiscible liquids,
usually water and oil, as small globules
 Since this type of dispersion is
inherently unstable, the system is
stabilized by the presence a third
component, the emulsifying agent
(emulgent, emulsifer)
09/26/2022
115
Determination of Emulsion Type
 Emulsions could be oil in water (O/W) or water in
oil (W/O) in type
Tests for distinguishing between O/W and W/O
emulsions include:
1. Dilution Test (Miscibility Test): dilution of an
emulsion with water or oil
2. Dye-solubility Test (Staining Test): use of
dyes soluble only in either the aqueous or the
oil phase of an emulsion, but not in both
phases, e.g. Scarlet red, Sudan III
3. Conductivity Test: O/W emulsion possesses a
much higher conductivity than W/O emulsion
09/26/2022
116
Stability of Emulsions
 A stable emulsion is one in which the
globules retain their initial character
(i.e., mean size and size distribution)
 Remain uniformly distributed
throughout the continuous phase
09/26/2022
117
Instability in emulsion includes
1. Cracking (Breaking) coalescence of the
dispersed globules and separation of the
disperse Phase as a separate layer
 simple mixing fails to re-establish the
stable emulsion
2. Creaming-the formation of a layer of
relativel concentrated emulsion
 less serious than cracking because a
creamed emulsion may be made homogenous
again by shaking
 Large droplets cream more rapidly-
eventually crack 09/26/2022
118
Small-Scale Preparation of
Emulsion
 can be prepared using a mortar and
pestle
 efficiency is limited and the globule
size may be larger than 10μm
 Electric Mixer may be used on a small
scale
 entrapped air may be a problem
 quality and stability of the product can
be improved by
 decreasing globule size
 use of homogenizers 09/26/2022
119
Cont…
A. Mortar and pestle:
 for emulsions that are stabilized by the
presence of a multimolecular flm (e.g.,
Acacia, tragacanth and agar) at the
interface
There are two basic methods
i) The Wet Gum (or called English) Method
 the emulsifying agent is placed in the
mortar and dispersed in water to form
mucilage
09/26/2022
120
Cont…
 The oil is added in small amounts with
continuous trituration,
 each portion of the oil being emulsifed
before adding the next increment
ii) The Dry Gum (or called continental)
Method
 In this method, the gum is added to the
oil
preferred by most pharmacists
09/26/2022
121
Cont…
Acacia Emulsions
 extemporaneously prepared emulsions for
internal use are made with acacia gum, unless
specifed
 To prepare acacia emulsions using a pestle and
mortar:
 a thick (primary) emulsion must be made frst
 quantities for primary emulsions- determined by
experience
 Parts by volume is parts for fxed, mineral,
and volatile oils
 part by weight for oleoresins and acacia
09/26/2022
122
Cont…
 In both the Dry Gum and the Wet
Gum methods
 a primary or concentrated emulsion is
frst prepared using a set ratio of oil,
water, and gum (emulsifying agent)
 then the fnal product is obtained by
dilution with the continuous phase
09/26/2022
123
Quantities for Primary
Emulsions
Types of
oil
Examples Quantities for primary emulsions (Parts)
Fixed oil Almond oil oil Water Gum
(Acacia)
Tragacant
h
Arachis oil 4 2 1 0.1
Castor oil
Cod-liver
oil
Mineral oil Liquid
paraffin
3 2 1 0.1
Volatile oil Turpentine
oil
2 2 1 0.1
Cinnamon
oil
Peppermint
oil
Oleo-resin Male fern
extract
1 2 1 0.1
09/26/2022
124
The amount of trangacanth needed is
only one-tenth of the acacia amount
 When an emulsion contains two or
more oily liquids the quantity of
acacia for each is calculated
separately and the sum of these
quantities used
09/26/2022
125
The method is as follows:
1. Measure the oil very accurately in a dry
measure:
 pour it into the bottom of a large,
perfectly dry, flat bottomed mortar
 allow the measure to drain by resting
2. measure the quantity of water or
aqueous vehicle required for the
primary emulsion and place this within
easy reach
09/26/2022
126
3. Weigh the acacia powder
4. Remove the oily measure from the mortar:
place the gum on the oil and mix lightly
for just long enough to disperse
 Take care to keep the suspension in the
bottom of the mortar, Do not over mix
5. Immediately add all the previously
measured water and stir continuously but
lightly in one direction until the mixture
thickens
 Then Stir and mix vigorously in the mortar
09/26/2022
127
6. When the primary emulsion is well formed there
is usually a characteristic ‘Cracking’ sound
 Continue to triturate for a further 2-3 minutes to
produce a white, stable emulsion
 The fner the dispersion the whiter the product
7. Gradually dilute the primary emulsion with small
volumes of the vehicle ensuring complete mixing
between additions
8. Transfer to a measure and make up to fnal
volume
9. If necessary, decant through a muslin strainer
into a calibrated bottle
09/26/2022
128
Problems:
 Sometimes the primary emulsion does
not form properly and the contents of
the mortar become oily, thin and
translucent
 This is due to phase inversion, the
product, which has become a W/O
emulsion cannot be diluted with water
and must therefore be discarded.
09/26/2022
129
Possible causes of the problem are:
 Insufficient shear between the mortar
base and the pestle head
 Inaccurate measurement of water or oil
 Cross contamination of water or oil
 Excessive mixing of oil and gum
 Too early or too rapid dilution of the
primary emulsion
 Poor quality acacia
09/26/2022
130
B. Other Methods
 An increasing number of emulsions are
being formulated with synthetic
emulsifying agents, especially of the
non-ionic type
 When using many of these highly
active synthetic agents, it is possible to
obtain excellent preparations by simply
adding the warmed phases to a
beaker and stirring until cool.
09/26/2022
131
 In place of a beaker, the phases can
sometimes be placed into a bottle,
which is then shaken.
 With hand homogenizers an initial
rough emulsion is formed by titration
in a mortar or shaking in a bottle.
 The rough emulsion is then passed
several times through the
homogenizer
09/26/2022
132
Containers and Labeling
 Emulsions should be supplied in well-
flled containers with airtight closures
 For viscous preparations wide-
mouthed amber glass bottles are
most appropriate
 Labeling: shake the bottle, store in
cool place but avoid freezing
09/26/2022
133
Compounding of Semisolid dosage forms
Ointments
 are semisolid preparations intended for
external application to the skin or
mucous membranes
 may be medicated or non- medicated
(ointment bases)
 ointment bases-used as emollient or
lubricant efect, as vehicles in
preparation of medicated ointments
four main classes of ointment bases
09/26/2022
134
classes of ointment bases
Hydrocarbon bases:- composed of
oleaginous compounds having low
water content and hydrophobic
 On application to the skin
 have an emollient efect
 protect against the escape of moisture
 efective as occlusive dressings
 remain on the skin for long periods
without drying out
 difficult to wash of -immiscible with
water 09/26/2022
135
Cont…
Absorption bases:- hydrophilic
 anhydrous materials-absorb water to
become W/O emulsions
 hydrous bases- W/O emulsions that
have the ability to absorb additional
water
 Examples: hydrophilic petrolatum and
anhydrous lanolin
09/26/2022
136
Cont…
Water-miscible bases:- O/W emulsion
bases/creams
 most commonly used type of ointment base
 washable and removed easily from skin or
clothing
 Example: Hydrophilic Ointment, USP
Water soluble bases:- made up of soluble
components or may include gelled aqueous
solutions
 Example: Polyethylene glycol (PEG) ointment
09/26/2022
137
Preparation of ointments
Two techniques are used in mixing
ointments
a) Mixing by fusion
 On a small scale, fusion is usually carried
out in an evaporating basin water bath
 Fusion is necessary when waxes, hard
paraffin, fatty alcohols, fatty acids or any
hard wax- like material is included in the
formula
 Fusion is used also when a medicament is
soluble in the melted base
09/26/2022
138
b) Mixing by trituration
 This method is applicable when the
medicament is a solid insoluble in the
bases or liquid present in small
amount
 Trituration may be carried out with an
ointment tile and spatula or using a
mortar and pestle
09/26/2022
139
Packaging and Storage of ointments
 Ointments are dispensed in either
ointment tube or collapsible tube
 However, ointments prepared
extemporaneously are usually packed in
ointment jar
 should be stored in a cool place
 Insoluble medicament may settle to the
bottom of the container if the ointment is
permit to liquefy
 Excessive heat or cold may cause an
emulsion base to separate into two phases
09/26/2022
140
Pastes
 ointment-like preparations intended for external
application
 contain large amounts of fnely powdered solids thus
stifer than ointments
 less greasy and more absorptive
 They are applied generously, either with a spatula or
spread on lint or other dressing and
 not removed for long periods
 pastes are prepared in the same manner as ointments
 Pastes are generally packed in glass ointment jars
 They are often too viscous for easy extrusion from
tubes
09/26/2022
141
Gels
 Jellies are transparent or translucent,
non-greasy semisolid
 generally applied externally
 Jellies are used for medication
(Medicated jellies), lubrication
(Lubricating jellies) and some
miscellaneous applications
09/26/2022
142
Formulation of Gels
 Gelling agents are usually organic
hydrocolloids but, occasionally,
hydrophilic inorganic substances
 Organic hydrocolloids: Tragacanth,
Sodium alginate, Pectin, Starch,
Gelatin, Cellulose derivatives
(Methylcellulose, Sodium
carboxymethylcellulose,
Hydrroxypropyl methylcellulose),
Carbomer, Polyvinyl alcohols, and
others 09/26/2022
143
Cont…
Other additives for gels
 Humectants- substance used to reduce the loss of
moisture from the preparation-prevent coarsening of
the matrix
 Example:- glycerol, propylene glycol or Sorbitol Solution
Preservatives: Gels have high water content; thus
liable to microbial growth…preservative is added
Chelating agents: are ingredients that bind with
metal ions or metallic compounds
 preventing contamination or discoloration Bases and
medicaments sensitive to heavy metals are
sometimes protected by chelating agents such as
EDTA
09/26/2022
144
Cont…
Packaging
 Lubricating jellies should be packed in
collapsible tubes
 However, stifer gels for application to
the skin-in ointment jars
 Containers should be well flled and
airtight to prevent evaporation
Storage
 Jellies should be stored in a cool place
to prevent loss of water via evaporation
09/26/2022
145
General method of compounding gels
1. Heat all components of the gel (with
the exception of water) to
approximately 90°C
2. Heat water to approximately 90°C
3. Add water to oil, stirring
continuously
 Avoid vigorous stirring as this will
introduce bubbles
09/26/2022
146
Creams
 viscous semi-solid emulsions for external use
 Medicaments can be dissolved or suspended in
creams
 A cream may be ‘water-in-oil’ or ‘oil-in-water’
depending on the emulsifying agent used
 A cream is always miscible with its continuous
phase
 Creams may contain one or more medicaments
in solution in one or other of the phases
 Finely powdered insoluble medicaments may
also be dispersed in a cream base
09/26/2022
147
Cont…
Water-in-oil creams (oily creams) as bases
 produced by the emulsifying agents of natural
origin (e.g. beeswax, wool alcohols or wool fat)
Oil-in-water creams (aqueous creams) as
bases
 produced by the synthetic waxes
(e.g.macrogol and cetomacrogol)
 They are the best bases to use for rapid
absorption and penetration of drugs
 They are thin, white and smooth inconsistency
09/26/2022
148
Preparation of creams
 The components of the oily phase (usually including the
emulgent) are heated until molten and the temperature
rises to 75ºC
 The components of the aqueous phase are mixed in a
separate vessel and also heated to 75ºC
 The aqueous phase is then added to the oily phase at the
same temperature and the resulting emulsion is stirred
gently until cool
 Thermometer should be used to control the temperatures
of the two phases
 Rapid cooling may result in separation of high melting
point components
 Excessive aeration caused by vigorous stirring may also
lead to a granular product
09/26/2022
149
Cont…
Packaging
 Wide-mouthed jars may be used for creams
where the risk of contamination in use is
considered to be minimal, e.g. oily creams
otherwise collapsible metal or flexible plastic
tubes
 The containers must be well closed and
prevent water evaporation
 The mouth of the jar should be covered with
a disc of greaseproof paper
Storage
 Creams should be stored in a cool place but
09/26/2022
150
Compounding of Powders
 Powders are solid preparations intended
for either internal or external use
 The following types of preparation will
be considered:
 Bulk powders for external use (dusting
powders):- dry, free-flowing
preparations consisting of one or a
mixture of fnely powdered substances
and intended for external application
 Bulk oral powders:- resemble dusting
powders with the exception that they
09/26/2022
151
Cont…
09/26/2022
152
 Divided (Individual unit dose) Powders:-
contain one or more active ingredients
together with an inert diluents to produce
minimum quantity that can be weighed
by the dispenser and handled by the
patient
 folded in powder papers after
preparation
 waxed (waterproof) paper for hygroscopic,
deliquescent or volatile ingredient
containing powders
Compounding method of powders
09/26/2022
153
The basic techniques are
 weighing
 Size Reduction
 Mixing using the geometric dilution
method
 On a small scale the powdered
ingredients may be mixed with a
mortar and pestle
09/26/2022
154
THANK YOU

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COMPOUND-Caalaa.pdf

  • 2. 1. Prepare for production process Objectives: At the end of this chapter you will be able to:  Describe the importance of extemporaneous compounding and outline its process  Clean compounding areas and equipment and maintain personal hygiene as per the product requirements & procedure  Apply right dressing code as per the product and institutional requirement 09/26/2022 2
  • 3. Compounding  Compounding is the act of preparing, mixing, assembling, packaging, and/or labeling a drug or device as the result of a practitioner’s prescription drug order or initiative based on the practitioner– patient–pharmacy professional relationship or for the purpose of research, teaching, or chemical analysis 09/26/2022 3
  • 4. Cont… Extemporaneous compounding Manufacturing 09/26/2022 4  is the timely preparation of a drug product according to  a physician’s prescription  a drug formula or  a recipe in which calculated amounts of ingredients are made into a homogenous (uniform) mixture  is the production  promotion and  marketing of drugs or devices  may start from extraction
  • 5. Importance of Extemporaneous compounding Reasons for Extemporaneous Compounding include; a. Unavailable dosages, strengths and routes of commercial products b. Dilution of adult doses of medications to Pediatric/Geriatric strengths c. Conversion of solid dosage forms to solutions or suspensions d. Combination of topical dermatological products not available by the manufacturer 09/26/2022 5
  • 6. The compounding process  the compounder should adhere strictly to procedures  compounder experience and expertise are signifcant factors for the production of safe and efective formulations due to  diversity of the types and number of preparations 09/26/2022 6
  • 7. Standards for extemporaneous compounding The products produced in the pharmacy must be suitable for use accurately prepared have assured quality 09/26/2022 7
  • 8. consideration during extemporaneous compounding Personal hygiene and protective equipment  hands washed, ensuring any open cuts are covered  Contact of hands with hair & mouth , biting nails must be avoided  Use protective equipment as per requirements  No canvas shoes, saddle shoes, open toe, or sandals are allowed Clean work area and equipment 09/26/2022 8
  • 9. Cont… 09/26/2022 9 Appropriate work area  Adequate lighting and ventilation Label preparation  Prepare label before starting the compounding procedure…this eliminate the possibility of unlabeled product will be left on the bench or given to the wrong patient  Can be type written or computer generated
  • 10. The details, which must appear on the label of a dispensed medicine 09/26/2022 10  The name and address of the pharmacy  The patient’s name  Name of the preparation  Quantity of the preparation  Formula of the preparation (for unofficial preparations only)  The strength of the preparation  Use of the preparation  Instructions for the patient  The date of compounding  Beyond used date (shelf life)  Storage conditions  Additional label ( Precautions , Advise )
  • 11. Special labeling instructions for particular type of dosage form Sr. No. Name of preparation Labeling instructions 1 Aerosol inhalation Pressurized containers keep away from heat source. Shake before use. Do not exceed the prescribed dose follow the instructions 2 Capsules Swallow with a draught of water 3 Creams For external use only, Store in a cool place 4 Dusting powders For external use only Not to be applied on open wound or to raw or weeping surface. 09/26/2022 11
  • 12. Cont… 6 Ear drops For external use only 7 Emulsions Shake the bottle before use 8 Enemas For rectal use only Shake well before use Warm to body temperature before use. 9 Eye drops To be used in 30 days after frst opening 10 Eye lotions To be used with 24 hrs after frst opening 11 Gargles and mouth washes Not to be swallowed in large amounts 09/26/2022 12
  • 13. Cont… 12 Granules To be dissolved or dispersed in water before taking 13 Inhalation Shake the bottle before use 14 Nasal drops For nasal use only 15 Ointments For external use only 16 Paints For external use only 17 Pessaries for vaginal use only store in cool place 18 Pastes For external use only 19 Solutions For external use only 20 Suppositori es For rectal use only Store in a cool place 09/26/2022 13
  • 14. Cont… 21 Tablets 1. For soluble or dispersible tablets Dissolve or dispensed in water before taking 2. For chewable tablets Chew before swallowing 3. For sustain release, Enteric coated or unpleasant tasting tablets Do not crush or chew 09/26/2022 14
  • 15. The beyond-use date (BUD)  the date after which a compounded preparation is not to be used  determined from the date of compounding  Compounders should consult and apply drug- specifc and general stability documentation and literature when available when assigning BUD 09/26/2022 15
  • 16. Cont… For a non-sterile compounded preparations of absent stability information and appropriately stored; the following BUD are assigned For Non-aqueous Liquids and Solid Formulations:  Where the compounded drug Product is the source of Active ingredient-  BUD is not later than 25% of the time remaining until the product’s expiration date or  6 months, whichever is earlier 09/26/2022 16
  • 17. Cont… For Water-Containing Formulations (prepared from ingredients in solid form):  BUD is not later than 14 days for liquid preparations For All Other Formulations:  BUD is not later than the intended duration of therapy or 30 days, whichever is earlier  These beyond-use date limits may be exceeded when there is supporting valid scientifc stability information that is directly applicable to the specifc preparation  (i.e., the same drug concentration range, 09/26/2022 17
  • 18. Weighing and measuring procedure  During weighing to avoid any accidental cross-over of ingredients incorporate a weighed or measured ingredient into a product immediately If this is not possible, place each on a piece of labeled paper Premises standards  Premises’ decoration should be of a good basic standard  floor- covered, smooth & cleanable  Sinks- have a supply of hot and cold water  Refrigerator – functioning & clean  There should be a supply of mains (potable) water 09/26/2022 18
  • 20. Premises standards The walls, floor ceilings, and floor of a compounding laboratory shall be  smooth  have no cracks or holes  painted and/or made of washable material The compounding room shall have adequate light and ventilation (ventilator, etc.) The compounding room should be protected from direct sunlight The window(s) of the compounding room shall be high enough and sealed 09/26/2022 20
  • 21. Avoidance of contamination guidelines:  Ensure all equipment is clean and dry prior to use  Keep the dispensing area clear of unnecessary items DO NOT  leave lids of stock bottles  return material to stock containers once removed  leave weighed and measured items unlabeled on the work surface  allow raw materials or the fnal product to 09/26/2022 21
  • 22. Suitable record keeping  poor record keeping can lead to dispensing errors  Therefore, the completion of the record is safety check for the patient Extemporaneous record sheets should be kept for a minimum of two years All records and reports should be readily available in the pharmacy for authorized inspection during the retention period 09/26/2022 22
  • 23. Compounding Process Recoding Form (Compounding sheet) Name of the dispensary/health institution __________________________Date _______________ Batch number/control number_____________________________ Batch quantity______________ 09/26/2022 23 Suitable record keeping
  • 24. Storing or transporting the compounded product  Appropriate storage requires  environmental, security, and safety considerations  Certain medications require freezing, refrigeration, light-protection or room- temperature conditions  Certain toxic chemicals should be kept inside cabinets and kept low to the ground 09/26/2022 24
  • 25. General Procedures for Compounding 1. Receive, validate and interpret the prescription as per the Standard Operating Procedures (SOP) for dispensing 2. Ensure that the compounding area, equipments and containers are ready for the process and don’t compromise the quality of the fnal product 3. Calculate the quantity of each ingredient accurately 4. Weigh and measure the ingredients necessary for compounding of the product as per the procedures for weighing and measuring, respectively 09/26/2022 25
  • 26. General Procedures for Compounding 7. Close the container and shake well as appropriate 8. Assign beyond-use date, prepare and attach a proper label on the product container 9. Clean all the equipments used for the compounding process and return to their original place 10. Clean the working table 11. Record the compounding process on the Compounding Sheet 12. Dispense the product to the patient with proper counseling 13. Record the prescription on the Compounding Prescription Registration Book 09/26/2022 26
  • 27. Equipments used in pharmaceutical compounding: Mortars and pestles –two types Glass –mortar and pestle Porcelain - mortar and pestle 09/26/2022 27  very smooth surface  less suitable for size reduction of powders  efficient when grinding crystals into powder form  particularly useful when dissolving small amounts of medicament  Suitable for absorbable & staining dyes e.g. potassium permanganate  much larger than their glass counterparts…used for larger scale production  for the size reduction of powders  for mixing powders with other powders  for mixing powders with liquids  for the preparation of emulsions
  • 28. Cont… Tiles and spatula  used to prepare ointments by means of trituration or levigation  Tiles are usually made of glazed porcelain or glass  Spatula is used to pick solid or semi solid ingredients & for levigation 09/26/2022 28
  • 29. Cont… Stirring rods  used to agitate liquids to speed up the process of dissolution of solids  between 20 and 30mm in length and made of glass  Take care not to stir too vigorously to prevent break 09/26/2022 29
  • 30. Cont… Suppository moulds  Traditionally, suppository moulds come in a range of sizes: 1 g, 2 g, 4 g and 8 g  These weights are nominal and imply calibration with Theobroma Oil BP  For accurate calibration a mould would need to be flled with base alone, the individual suppositories formed weighed, and the mean weight taken as the true capacity 09/26/2022 30
  • 31. Cont… Water baths  Is a container flled with heated water  used to melt or heat reagents as required  The item to be melted or heated is placed in an evaporating basin over a water bath containing hot water and allowed to melt or get heated 09/26/2022 31
  • 32. Triple beam balance digital balance 09/26/2022 32
  • 33. 09/26/2022 33 Watch glasses  is used as a surface to evaporate a liquid  to hold solids while being weighed  for heating a small amount of substance  as a cover for a beaker
  • 34. Measuring apparatus 09/26/2022 34  Made of glass or plastic  used to measure liquid  Several in type Cylindrical graduates  Conical graduates Beakers Graduated pipettes Bottles Burette Dropper
  • 37. Role of Pharmacy Technicians in Compounding  The securing of all prescribed medications or devices from inventory  Measuring fnished dosage forms (known as “quality sufficient” or “ q . s.”)  Collecting ingredients for preparations  Determining amounts of ingredients to be compounded  Compounding sterile preparations using appropriate aseptic technique, equipment, and devices  Compounding cytotoxic or other hazardous preparations  Disposing of hazardous or non-hazardous waste materials  Packaging of fnished preparations  Generating accurate and complete labels and affixing them appropriately  Storing all medications correctly prior to dispensing 09/26/2022 37
  • 38. 2. QUALITY CONTROL IN PHARMACEUTICAL COMPOUNDING Introduction  Quality control and assurance is designed to achieve  the utmost quality  purity  efectiveness  safety concerning drug products 09/26/2022 38
  • 39. Quality Assurance (QA) is all system which ensures activities involving: Planning quality control quality assessment reporting and quality improvement  to ensure that a product or service meets defned standards of quality with a stated level of confdence 09/26/2022 39
  • 40. Quality control (QC): is overall system of activities concerned with Sampling specifcation testing Organization Documentation release of procedure to ensure the quality of the product 09/26/2022 40
  • 41. GMP (Good Manufacturing Practice  is part of quality assurance that ensures products are consistently produced and controlled to the quality standard appropriate to their intended use 09/26/2022 41
  • 42. Relationships of QA, QC & GMP GMP is a component of quality assurance and QC is a component of GMP Or GMP and QC are components of quality assurance 09/26/2022 42
  • 43. Quality assurance principles  Q A is a wide-ranging concept covering all matters that individually or collectively influence the quality of a product  It is the totality of the arrangements made with the objective of ensuring that pharmaceutical products are of the quality required for their intended use  Quality assurance therefore incorporates GMP/GCP, QC and other factors, including those outside the scope of this guide such as product design and development 09/26/2022 43
  • 44. The system of Q A should ensure that: a. Pharmaceutical products are designed and developed as requirements of GMP/GCP and  other associated codes such as those of good laboratory practice (GLP) b. Production and control operations are clearly specifed in a written form and GMP/GCP requirements are adopted 09/26/2022 44
  • 45. c. Managerial responsibilities are clearly specifed in job descriptions d. Arrangements are made for the manufacture, supply and use of the correct starting and packaging materials e. All necessary controls on starting materials, intermediate products, and bulk products and other in-process controls, calibrations, and validations are carried out 09/26/2022 45
  • 46. f. The fnished product is correctly processed and checked, according to the defned procedures  Pharmaceutical products are not sold or supplied before the authorized persons have certifed  that each production batch, produced and controlled in accordance with the requirements of the marketing authorization 09/26/2022 46
  • 47. g. Satisfactory arrangements should exist to ensure the pharmaceutical products are stored, distributed, and subsequently handled so that quality is maintained throughout their shelf-life  There should be procedure for self-inspection and/or quality audit that regularly appraises the efectiveness and applicability of the quality assurance system h. Deviations are reported, investigated and recorded i. There is a system for approving changes that may have an impact on product quality 09/26/2022 47
  • 48. j. Regular evaluations of the quality of pharmaceutical products should be conducted with the objective of verifying the consistency of the process and ensuring its continuous improvement 09/26/2022 48
  • 49. Good compounding/manufacturing practices (GCP/GMP)  GCP/GMP is aimed primarily at diminishing the risks inherent in any pharmaceutical production  Such risks are essentially of two types: 1. cross contamination (unexpected contaminants) and 2. mix-ups (confusion) caused by, for example, false labels being put on containers 09/26/2022 49
  • 50. (GCP/GMP)… Under GCP/GMP:  All compounding or manufacturing processes are clearly defned,  systematically reviewed in the light of experience  Qualifcation and validation are performed 09/26/2022 50
  • 51. (GCP/GMP)… All necessary resources are provided :- I. qualifed and trained personnel II. Adequate premises and space III. Suitable equipment and services IV. Appropriate materials, containers and labels V. Approved procedures and instructions VI. Suitable storage and transport 09/26/2022 51
  • 52. (GCP/GMP)… Instructions and procedures are written in clear and unambiguous language Operators are trained to carry out procedures correctly Records are made (manually and/or by recording instruments) during manufacture to show that all the steps required by the defned procedures and instructions have in fact been taken 09/26/2022 52
  • 53. (GCP/GMP)… Records of complete history of a batch to be traced, are retained in a comprehensible and accessible form A system is available to recall any batch of product from sale or supply Complaints about marketed products are examined the causes of quality defects investigated, and appropriate measures taken in respect of the defective products to prevent recurrence 09/26/2022 53
  • 54. Continuous quality improvement  Before dispensing, the pharmacist should review each step in the preparatory, compounding & make fnal check Aspects to be reviewed in quality control include:  Appropriateness of ingredients, and equipments used  correctness of calculations  Accuracy of measurements  Appropriateness of formulation for intended use  stability limits of the preparation 09/26/2022 54
  • 55. Cont…  The review of the fnal check is intended to verify consistency with standard of: The calculated yield is consistent with the actual yield The tolerance of variation The physical characteristics (clarity, color, and odor) suitability of label & packaging Documentation is appropriate Adequacy of counseling explicit storage and administration 09/26/2022 55
  • 56. 3. OBTAIN AND PROCESS RAW MATERIALS Introduction  Drug substances are seldom administered alone  Selective use of nonmedical agents, referred to as pharmaceutical ingredients or excipients, produces dosage forms of various types  Drug = API (Active Pharmaceutical Ingredient) + Non-API (Excipient) Non-API: incorporated to aid some physicochemical process of drug manufacturing; has no pharmacological 09/26/2022 56
  • 57. Commonly used pharmaceutical ingredients 09/26/2022 57 a. Pharmaceutical solvents b. Preservatives c. Anti-oxidant d. Bufers and pH adjusting agents e. Viscosity inducing agents f. Emulsifying g. Colorants h. Flavorants and Sweeteners i. Disintegrants j. Adhesives or Binders k. Diluents or Fillers
  • 58. Pharmaceutical solvents:  Dissolve another substance in preparation  selection depends on  knowledge of the chemical characteristics of drugs  Solubility factors (size, Temperature, pH, extent of agitation, Clarity, low toxicity, viscosity, compatibility, chemical inertness, palatability, odor, color, and economy) The most common solvent is water 09/26/2022 58
  • 59. Preservatives:  Prevents the formulation from chemical, physical and microbial degradation  E.g. Benzoic acid, boric acid, Sorbic acid, Benzalkonium Chloride, Phenols, Alcohols Anti-oxidant:  Prevent the degradation of a drug by oxidation Have higher oxidative potential or inhibit free radical-induced drug decomposition Employed in low concentrations (<0.2%w/w) E.g. Ascorbic acid, sodium bisulfate, sodium formaldehyde, sodium meta bisulfte 09/26/2022 59
  • 60. Bufers and pH adjusting agents:  A bufer resists changes in PH  It is composed of a weak acid and its conjugate base or a weak base and its conjugate acid  adjust it upon addition of an acid or base to: Bufers are added as pharmaceutical ingredient to:  Increase comfort to the site of administration  Render the formulation more stable  Enhance the aqueous solubility of the drug  Enhance the drug’s bioavailability  Maximize preservative efficacy E.g. Potassium meta phosphate, Potassium 09/26/2022 60
  • 61. Viscosity inducing agents:  Render resistance to flow for Suspensions, ophthalmic solutions, topical creams and oral solutions  E.g. Alginic acid, Bentonite, Carbomer, sodium carboxy methyl cellulose, Sodium alginate, Tragacanth, glycerol etc Emulsifying agents and Surfactant:  Promote and maintain dispersion of liquid in another liquid in which it is immiscible (Suspension and emulsion)  E.g. Tragacanth, Bentonite, Polysorbate 80, Accacia, 09/26/2022 61
  • 62. Colorants:  Colorants are added to impart color to liquid and solid preparations For esthetics and patient compliance  For identifcation & to minimize the medication errors E.g. Titanium dioxide, Calamine, Azo dye, Nitroso dyes, xanthenes, Nitro dyes 09/26/2022 62
  • 63. Flavorants and Sweeteners:  Flavorants- impart a pleasant flavor  Sweeteners- Impart sweetness to the preparation  E.g. Aspartame, Dextrose, Glycerin, Mannitol, Saccharin sodium, Sorbitol, Sucrose Disintegrants: Overcome the cohesiveness imparted during compression  It increases break up → increase surface area → increase dissolution → increase absorption  Eg. Starch, Alginic acid, Polacrilin potassium, Sodium alginate, Microcrystalline cellulose 09/26/2022 63
  • 64. Lubricants:  Reduce friction during tablet compression  Enhance the flow of the material  Minimize wear of the part of the machines  Prevent fll material from sticking  Produce tablets with sheen  E.g. Fine silica, magnesium stearate, Talc 09/26/2022 64
  • 65. Adhesives or Binders:  Promote adhesion in Granules and tablets  E.g. Acacia, Alginic acid, Carboxymethylcellulose sodium, Compressible sugar, Ethylcellulose, Gelatin, Liquid glucose, Methylcellulose, Povidone, Pregelatinized starch, dibasic calcium phosphate, polyvinyl pyrollidine. 09/26/2022 65
  • 66. Other pharmaceutical ingredients:  Ointment bases-Parts of an ointment which is used as a Vehicle  Suppository bases-Vehicles for suppositories  Gelling agents-They are ingredients that give the preparation a gel like consistency  e.g.: Tragacanth- bassorin pastes, Sodium alginate, Pectin, Starch  Diluents or Fillers: Create tablet of proper size and consistency  Quantity of active ingredient is small or difficult to compress so that diluents and 09/26/2022 66
  • 67. Packaging and pre-pack of pharmaceutical products  Packaging is the science, art and technology of enclosing or protecting products for distribution, storage, sale and use Pharmaceutical Packaging is an economical means of providing  Protection  Identifcation/information  Containment  convenience and compliance for a drug product during storage, carriage, display and use until its day of expiry 09/26/2022 67
  • 68. Cont…  packaging standards required to comply with requirements, such as efficacy, integrity, purity, safety, and stability  For these reasons packaging technology should be based on understanding of:  characteristics of formulations,  dosage forms  physical and chemical properties of the drug substance 09/26/2022 68
  • 69. Cont…  Packaging involves various types or categories of containers.  A container is defned as “that which holds the article and is or may be in direct contact with the article”.  The closure is “a part of the container” 09/26/2022 69
  • 70. Desirable qualities of a container  Protect the contents from physical and mechanical hazards. i.e. Vibration, compression, shock, abrasion, punctures etc.  No reaction with the content  Should not release any chemical  No adsorption of the product 09/26/2022 70
  • 71.  Should not impart taste or odors and not shed the particles  Should be nontoxic  Should give convenient and easy with drawl of the required dose  Be capable of withstanding extremes of temperature and humidity  Protect the contents from both water loss and gain 09/26/2022 71
  • 72.  Protect the content from loss of volatile materials.  Be sufficiently transparent to permit the inspection of the content This may be impractical for drugs sensitive to light  Be easy to label and thus to identify the product  Be cheap and economical  Adoptable to certain high speed flling equipment 09/26/2022 72
  • 73. The purposes of packaging and package labels Protection: most critical factor as it controls the total shelf-life of the product  Physical protection  Barrier protection - A barrier from oxygen, water vapor, dust, etc., is often required Permeation is a critical factor in design Some packages contain desiccants or oxygen absorbers to help extend shelf life 09/26/2022 73
  • 74. Cont…  Containment or agglomeration - E.g. Liquids, powders, and granular materials need containment Information transmission to encourage marketing Security- Packages can be made with improved  tamper resistance  pilferage resistance -electronic article surveillance tags that can be activated or detected by devices at exit points 09/26/2022 74
  • 75. Cont… Convenience - in distribution, handling, stacking, display, sale, opening, reclosing, use, dispensing and reuse Offer consumer safety: -warn of hazards 09/26/2022 75
  • 76. Packaging Types Based on the type of product packaged:  medical device packaging  bulk chemical packaging  pharmaceutical packaging etc Based on layer or function:  Primary  Secondary  tertiary 09/26/2022 76
  • 77. A primary pack (container)  directly in contact with the product (e.g. bottle, cap)  main functions- to contain and restrict any chemical, climatic, biological or occasionally mechanical hazards -pack of 'use‘- means of drug administration 09/26/2022 77
  • 78.  can be made of glass, plastic, single or laminated flexible material and metal  Examples of primary packaging materials include:- Containers, Ampoules, Vials, Dosing dropper, Closures (plastic, metal), Syringe, Strip package, Blister packaging 09/26/2022 78
  • 80. ii. Secondary packaging  not in direct contact with the product  include an over-pack, over-wrap or pouch  provide moisture, gas, light or microbial protection that is not provided by the primary container  may be used for the fnal market presentation  often used to carry the required labeling for the product  can provide protection against damage in the handling and distribution system 09/26/2022 80
  • 82. iii. Tertiary packaging  used for bulk handling, warehouse storage and transport shipping.  The most common form is a palletized unit load that packs tightly into containers 09/26/2022 82
  • 84. USP classifcation of containers  based on their ability to protect their contents from external conditions A well-closed container: protects from extraneous solids and from loss under ordinary conditions of handling, shipment, storage and distribution 09/26/2022 84
  • 85. A tight container: protects the contents from contamination by extraneous liquids, solids or vapors from loss of the article from eforescence Deliquescence evaporation is capable of tight re-closure 09/26/2022 85
  • 86. Hermetic sealed containers: impervious to air or any other gas under pharmaceutical preparations Sterile hermetic containers generally hold parenteral preparations may be: Single dose containers - fusion sealed -cannot be resealed e.g. ampoules and preflled syringes and cartridges 09/26/2022 86
  • 87. Multi dose container- commonly called vials A light–resistant container: protects the contents from the efects of light  by virtue of the specifc properties of the material of which it is composed  clear and colorless or translucent container of opaque covering  by adding ultraviolet absorbing agents to plastic to decrease the transmission of short ultraviolet rays 09/26/2022 87
  • 88. Tamper evident containers: ftted with a device that irreversibly indicates if the container has been opened Child resistant containers: one that is signifcantly difficult for children under 5 years of age to open or to obtain a harmful amount of its contents within a reasonable time 09/26/2022 88
  • 89. Strip packs: have at least one sealed pocket of material That each pocket containing a single dose of the product They are common ways of unit packaging of a solid drug formulation. The packaging materials may be combinations of paper, foil, plastic, or cellophane 09/26/2022 89
  • 90.  Pressurized packs (aerosol containers): expel the product through a valve  Original packs are pharmaceutical packs that are commercially produced and intended for fnite treatment periods  Better to dispense medication in the same type and quality of container as that used by the manufacturer 09/26/2022 90
  • 91. Inventory control Role of the pharmacy Technician in Inventory control  Following the policies and procedures of inventory control  Providing accurate inventory records  Determining sources of pharmaceutical products  Identifying and ordering needed pharmaceutical products  Receiving and storing pharmaceutical products 09/26/2022 91
  • 92. Procedures for ordering and receiving raw materials Receiving  follow the pharmacy’s procedures for receiving raw materials  The supplier includes an invoice, which is a listing of the items  Checked item against invoice to make sure that nothing is missing, and un ordered is included  document the receipt of goods by entering the information into a computer, or by scanning bar codes. 09/26/2022 92
  • 93. Returning Items  After checking all items against the orders that you receive, return  Defective  Expired  more than needed items using return form  Information's that must be included on a return form:  Original purchase order (P.O.) number 09/26/2022 93
  • 94.  Item number  Quantity  Reason for return  Similar procedures are followed for obtaining and returning raw materials for compounding.  IFRR form is used for this purpose 09/26/2022 94
  • 95. COMPOUNDING EXTEMPORANEOUS PRODUCTS Objectives : to  Discuss diferent Compounding methods  Explain Storage conditions of compounded products  Apply appropriate Beyond use dates on labels 09/26/2022 95
  • 96. Compounding methods Compounding of pharmaceutical solutions A solution- is a thermodynamically stable  Homogeneous/one-phase system/composed of two or more components  one of which is completely dissolved in the other  pharmaceutical solutions are composed of a solid, liquid, or gas dissolved in a liquid solvent 09/26/2022 96
  • 97. Cont… Solute- is the component present in the smallest amount e.g.AI, flavoring or coloring agents, preservatives, and stabilizers or bufering salts solvent is the larger, liquid component E.g. -water, ethanol, glycerin, alcohol -aromatic waters, glycerol, syrup, -propylene glycol, isopropyl alcohol, etc. 09/26/2022 97
  • 98. appropriate solvent:-  completely dissolve the drug and other solid ingredients  be nontoxic and safe for ingestion or topical application  be aesthetically acceptable to the patient in terms of appearance, aroma, texture, and/or taste 09/26/2022 98
  • 99.  Water is the vehicle of choice for the majority of pharmaceutical solution because  Available  relatively inexpensive  Palatable  non- toxic for oral use  non-irritant for external use  compatible with wide range of substances 09/26/2022 99
  • 100. Types of solutions 1. Solution taken orally: mixtures, elixirs, syrups, linctuses, draughts 2. Solution used in mouth and throat: - mouth washes and gargles, throat paints, throat sprays 3. Solution instilled into body cavities: douches, enemas, eardrops, eyes drops, nasal drops, nasal sprays 4. Solution applied to body surface: collodions, liniments, lotion and paints 09/26/2022 100
  • 101. General Method of preparation of Solution 1. Write out the working formula either from the prescription (unofficial) or from an official text (official) 2. Calculate the quantities required for each ingredient in the formula to produce the required fnal volume 3. Complete all sections of the product worksheet 4. Prepare a suitable label 5. Weigh all solids 09/26/2022 101
  • 102. Cont… 6. Identify the soluble solids and calculate the quantity of vehicle required to dissolve the solids fully  If more than one solid is to be dissolved, they are dissolved one by one,  the least soluble frst  dissolve in a glass /plastic/ beaker, not a conical measure  solubility of the soluble solids will be dependent on the vehicle used 09/26/2022 102
  • 103. Cont… 7. Transfer the appropriate amount of vehicle to a glass beaker 8. If necessary, transfer the solid to a glass mortar and use the glass pestle to reduce particle size to aid dissolution 9. Transfer the solid to the beaker and stir to aid dissolution, rinse mortar if used with a little vehicle 10.When all the solid(s) has/have dissolved, transfer the solution to the 09/26/2022 103
  • 104. Cont… 11.Rinse out the beaker in which the solution was made with a portion of the vehicle, and transfer the rinsing’s to the conical measure. 12.Add any remaining liquid ingredients to the conical measure and stir 13.Make up to fnal volume with remaining vehicle 14.Transfer to a suitable container, label and 09/26/2022 104
  • 105. Aromatic water  Aromatic waters are aqueous solutions usually saturated of volatile oils or other volatile substances that are characterized by very low water solubility- E.g. Chloroform  Aromatic waters are used externally as perfumes (e.g. Rose water) Internally- as flavoring agents peppermint water, cinnamon water -used as carminative  chloroform water -used in expectorant 09/26/2022 105
  • 106. Spirits  are alcoholic or aqueous alcoholic solutions of volatile substances  Like the aromatic water the active ingredients in the sprits may be a solid, liquid or gas  The volatile substance in the majority of case is volatile oils  Some used internally/by inhalation medically  But a large number are used as flavoring agents  Spirits should be kept in well-closed containers and stored at temperature not 09/26/2022 106
  • 107. Tinctures  alcoholic or hydro alcoholic solution  extracted from natural sources or of pure chemical(e.g. iodine tincture) merely dissolved in these solvent systems Tinctures vary widely in  method of preparation  the strength of their volatile ingredients  alcoholic content  intended use Tinctures are prepared by a number of processes:  maceration (process M); percolation (process 09/26/2022 107
  • 108. Syrups  concentrated aqueous solutions of sucrose, other sugars or sweetening agents  small quantities of suitable polyhydric alcohols may be added to retard crystallization or to increase the solubility of the other ingredients  Syrups usually contain aromatic or other flavoring materials 09/26/2022 108
  • 109. Elixirs  is a liquid oral preparation that usually contains either potent or unpleasant- tasting drugs  The formulation is clear and generally contains a high proportion of sugar or other sweetening agent, included to mask ofensive or nauseating tastes.  Pediatric elixirs are usually formulated with fruit syrup as a base flavoring agent 09/26/2022 109
  • 110. Linctuses  is a liquid oral preparation that is chiefly used for a demulcent expectorant sedative purpose Principally used in the treatment of cough  A linctus is intended to be sipped slowly and allowed to trickledown the throat in an undiluted form 09/26/2022 110
  • 111. Suspension  Suspension - dispersed systems in which fnely divided drug practices (called the disperse phase) are distributed thought out a vehicle (called dispersion medium or continues phase)  in which the drug exhibits a minimum degree of solubility.  include powders in dry from to be place in suspension and drugs suspended in liquid vehicles Major applications: 09/26/2022 111
  • 112. General methods of preparation of suspension 1. Carefully tare(calibrate) the container to the required volume 2. Finely powder any solid ingredient not already in fne powder 3. Mix the insoluble powders in a mortar adding ingredients in order of increasing of bulk using amounts approximately equal to bulk already in the mortar (geometric dilution) 4. Add enough vehicles to produce a smooth paste 09/26/2022 112
  • 113. Cont… 6. Dilute with a vehicle until pourable Examine the suspension critically and if it contains foreign particle strain through muslin 7. Transfer it to the tarred bottle 8. Add any volatile solid ingredients previously dissolved in some of the vehicle and mix well 9. Add any liquid ingredients raise the measures and mix well after each 09/26/2022 113
  • 114. Cont… 10.Rinse the mortar and pestle with successive volumes of the vehicle until they are quite clean transferring the rinsing to the bottle 11.Make up to volume with the vehicle and shake thoroughly 09/26/2022 114
  • 115. Compounding of Emulsions  An emulsion is a disperse system consisting of two immiscible liquids, usually water and oil, as small globules  Since this type of dispersion is inherently unstable, the system is stabilized by the presence a third component, the emulsifying agent (emulgent, emulsifer) 09/26/2022 115
  • 116. Determination of Emulsion Type  Emulsions could be oil in water (O/W) or water in oil (W/O) in type Tests for distinguishing between O/W and W/O emulsions include: 1. Dilution Test (Miscibility Test): dilution of an emulsion with water or oil 2. Dye-solubility Test (Staining Test): use of dyes soluble only in either the aqueous or the oil phase of an emulsion, but not in both phases, e.g. Scarlet red, Sudan III 3. Conductivity Test: O/W emulsion possesses a much higher conductivity than W/O emulsion 09/26/2022 116
  • 117. Stability of Emulsions  A stable emulsion is one in which the globules retain their initial character (i.e., mean size and size distribution)  Remain uniformly distributed throughout the continuous phase 09/26/2022 117
  • 118. Instability in emulsion includes 1. Cracking (Breaking) coalescence of the dispersed globules and separation of the disperse Phase as a separate layer  simple mixing fails to re-establish the stable emulsion 2. Creaming-the formation of a layer of relativel concentrated emulsion  less serious than cracking because a creamed emulsion may be made homogenous again by shaking  Large droplets cream more rapidly- eventually crack 09/26/2022 118
  • 119. Small-Scale Preparation of Emulsion  can be prepared using a mortar and pestle  efficiency is limited and the globule size may be larger than 10μm  Electric Mixer may be used on a small scale  entrapped air may be a problem  quality and stability of the product can be improved by  decreasing globule size  use of homogenizers 09/26/2022 119
  • 120. Cont… A. Mortar and pestle:  for emulsions that are stabilized by the presence of a multimolecular flm (e.g., Acacia, tragacanth and agar) at the interface There are two basic methods i) The Wet Gum (or called English) Method  the emulsifying agent is placed in the mortar and dispersed in water to form mucilage 09/26/2022 120
  • 121. Cont…  The oil is added in small amounts with continuous trituration,  each portion of the oil being emulsifed before adding the next increment ii) The Dry Gum (or called continental) Method  In this method, the gum is added to the oil preferred by most pharmacists 09/26/2022 121
  • 122. Cont… Acacia Emulsions  extemporaneously prepared emulsions for internal use are made with acacia gum, unless specifed  To prepare acacia emulsions using a pestle and mortar:  a thick (primary) emulsion must be made frst  quantities for primary emulsions- determined by experience  Parts by volume is parts for fxed, mineral, and volatile oils  part by weight for oleoresins and acacia 09/26/2022 122
  • 123. Cont…  In both the Dry Gum and the Wet Gum methods  a primary or concentrated emulsion is frst prepared using a set ratio of oil, water, and gum (emulsifying agent)  then the fnal product is obtained by dilution with the continuous phase 09/26/2022 123
  • 124. Quantities for Primary Emulsions Types of oil Examples Quantities for primary emulsions (Parts) Fixed oil Almond oil oil Water Gum (Acacia) Tragacant h Arachis oil 4 2 1 0.1 Castor oil Cod-liver oil Mineral oil Liquid paraffin 3 2 1 0.1 Volatile oil Turpentine oil 2 2 1 0.1 Cinnamon oil Peppermint oil Oleo-resin Male fern extract 1 2 1 0.1 09/26/2022 124
  • 125. The amount of trangacanth needed is only one-tenth of the acacia amount  When an emulsion contains two or more oily liquids the quantity of acacia for each is calculated separately and the sum of these quantities used 09/26/2022 125
  • 126. The method is as follows: 1. Measure the oil very accurately in a dry measure:  pour it into the bottom of a large, perfectly dry, flat bottomed mortar  allow the measure to drain by resting 2. measure the quantity of water or aqueous vehicle required for the primary emulsion and place this within easy reach 09/26/2022 126
  • 127. 3. Weigh the acacia powder 4. Remove the oily measure from the mortar: place the gum on the oil and mix lightly for just long enough to disperse  Take care to keep the suspension in the bottom of the mortar, Do not over mix 5. Immediately add all the previously measured water and stir continuously but lightly in one direction until the mixture thickens  Then Stir and mix vigorously in the mortar 09/26/2022 127
  • 128. 6. When the primary emulsion is well formed there is usually a characteristic ‘Cracking’ sound  Continue to triturate for a further 2-3 minutes to produce a white, stable emulsion  The fner the dispersion the whiter the product 7. Gradually dilute the primary emulsion with small volumes of the vehicle ensuring complete mixing between additions 8. Transfer to a measure and make up to fnal volume 9. If necessary, decant through a muslin strainer into a calibrated bottle 09/26/2022 128
  • 129. Problems:  Sometimes the primary emulsion does not form properly and the contents of the mortar become oily, thin and translucent  This is due to phase inversion, the product, which has become a W/O emulsion cannot be diluted with water and must therefore be discarded. 09/26/2022 129
  • 130. Possible causes of the problem are:  Insufficient shear between the mortar base and the pestle head  Inaccurate measurement of water or oil  Cross contamination of water or oil  Excessive mixing of oil and gum  Too early or too rapid dilution of the primary emulsion  Poor quality acacia 09/26/2022 130
  • 131. B. Other Methods  An increasing number of emulsions are being formulated with synthetic emulsifying agents, especially of the non-ionic type  When using many of these highly active synthetic agents, it is possible to obtain excellent preparations by simply adding the warmed phases to a beaker and stirring until cool. 09/26/2022 131
  • 132.  In place of a beaker, the phases can sometimes be placed into a bottle, which is then shaken.  With hand homogenizers an initial rough emulsion is formed by titration in a mortar or shaking in a bottle.  The rough emulsion is then passed several times through the homogenizer 09/26/2022 132
  • 133. Containers and Labeling  Emulsions should be supplied in well- flled containers with airtight closures  For viscous preparations wide- mouthed amber glass bottles are most appropriate  Labeling: shake the bottle, store in cool place but avoid freezing 09/26/2022 133
  • 134. Compounding of Semisolid dosage forms Ointments  are semisolid preparations intended for external application to the skin or mucous membranes  may be medicated or non- medicated (ointment bases)  ointment bases-used as emollient or lubricant efect, as vehicles in preparation of medicated ointments four main classes of ointment bases 09/26/2022 134
  • 135. classes of ointment bases Hydrocarbon bases:- composed of oleaginous compounds having low water content and hydrophobic  On application to the skin  have an emollient efect  protect against the escape of moisture  efective as occlusive dressings  remain on the skin for long periods without drying out  difficult to wash of -immiscible with water 09/26/2022 135
  • 136. Cont… Absorption bases:- hydrophilic  anhydrous materials-absorb water to become W/O emulsions  hydrous bases- W/O emulsions that have the ability to absorb additional water  Examples: hydrophilic petrolatum and anhydrous lanolin 09/26/2022 136
  • 137. Cont… Water-miscible bases:- O/W emulsion bases/creams  most commonly used type of ointment base  washable and removed easily from skin or clothing  Example: Hydrophilic Ointment, USP Water soluble bases:- made up of soluble components or may include gelled aqueous solutions  Example: Polyethylene glycol (PEG) ointment 09/26/2022 137
  • 138. Preparation of ointments Two techniques are used in mixing ointments a) Mixing by fusion  On a small scale, fusion is usually carried out in an evaporating basin water bath  Fusion is necessary when waxes, hard paraffin, fatty alcohols, fatty acids or any hard wax- like material is included in the formula  Fusion is used also when a medicament is soluble in the melted base 09/26/2022 138
  • 139. b) Mixing by trituration  This method is applicable when the medicament is a solid insoluble in the bases or liquid present in small amount  Trituration may be carried out with an ointment tile and spatula or using a mortar and pestle 09/26/2022 139
  • 140. Packaging and Storage of ointments  Ointments are dispensed in either ointment tube or collapsible tube  However, ointments prepared extemporaneously are usually packed in ointment jar  should be stored in a cool place  Insoluble medicament may settle to the bottom of the container if the ointment is permit to liquefy  Excessive heat or cold may cause an emulsion base to separate into two phases 09/26/2022 140
  • 141. Pastes  ointment-like preparations intended for external application  contain large amounts of fnely powdered solids thus stifer than ointments  less greasy and more absorptive  They are applied generously, either with a spatula or spread on lint or other dressing and  not removed for long periods  pastes are prepared in the same manner as ointments  Pastes are generally packed in glass ointment jars  They are often too viscous for easy extrusion from tubes 09/26/2022 141
  • 142. Gels  Jellies are transparent or translucent, non-greasy semisolid  generally applied externally  Jellies are used for medication (Medicated jellies), lubrication (Lubricating jellies) and some miscellaneous applications 09/26/2022 142
  • 143. Formulation of Gels  Gelling agents are usually organic hydrocolloids but, occasionally, hydrophilic inorganic substances  Organic hydrocolloids: Tragacanth, Sodium alginate, Pectin, Starch, Gelatin, Cellulose derivatives (Methylcellulose, Sodium carboxymethylcellulose, Hydrroxypropyl methylcellulose), Carbomer, Polyvinyl alcohols, and others 09/26/2022 143
  • 144. Cont… Other additives for gels  Humectants- substance used to reduce the loss of moisture from the preparation-prevent coarsening of the matrix  Example:- glycerol, propylene glycol or Sorbitol Solution Preservatives: Gels have high water content; thus liable to microbial growth…preservative is added Chelating agents: are ingredients that bind with metal ions or metallic compounds  preventing contamination or discoloration Bases and medicaments sensitive to heavy metals are sometimes protected by chelating agents such as EDTA 09/26/2022 144
  • 145. Cont… Packaging  Lubricating jellies should be packed in collapsible tubes  However, stifer gels for application to the skin-in ointment jars  Containers should be well flled and airtight to prevent evaporation Storage  Jellies should be stored in a cool place to prevent loss of water via evaporation 09/26/2022 145
  • 146. General method of compounding gels 1. Heat all components of the gel (with the exception of water) to approximately 90°C 2. Heat water to approximately 90°C 3. Add water to oil, stirring continuously  Avoid vigorous stirring as this will introduce bubbles 09/26/2022 146
  • 147. Creams  viscous semi-solid emulsions for external use  Medicaments can be dissolved or suspended in creams  A cream may be ‘water-in-oil’ or ‘oil-in-water’ depending on the emulsifying agent used  A cream is always miscible with its continuous phase  Creams may contain one or more medicaments in solution in one or other of the phases  Finely powdered insoluble medicaments may also be dispersed in a cream base 09/26/2022 147
  • 148. Cont… Water-in-oil creams (oily creams) as bases  produced by the emulsifying agents of natural origin (e.g. beeswax, wool alcohols or wool fat) Oil-in-water creams (aqueous creams) as bases  produced by the synthetic waxes (e.g.macrogol and cetomacrogol)  They are the best bases to use for rapid absorption and penetration of drugs  They are thin, white and smooth inconsistency 09/26/2022 148
  • 149. Preparation of creams  The components of the oily phase (usually including the emulgent) are heated until molten and the temperature rises to 75ºC  The components of the aqueous phase are mixed in a separate vessel and also heated to 75ºC  The aqueous phase is then added to the oily phase at the same temperature and the resulting emulsion is stirred gently until cool  Thermometer should be used to control the temperatures of the two phases  Rapid cooling may result in separation of high melting point components  Excessive aeration caused by vigorous stirring may also lead to a granular product 09/26/2022 149
  • 150. Cont… Packaging  Wide-mouthed jars may be used for creams where the risk of contamination in use is considered to be minimal, e.g. oily creams otherwise collapsible metal or flexible plastic tubes  The containers must be well closed and prevent water evaporation  The mouth of the jar should be covered with a disc of greaseproof paper Storage  Creams should be stored in a cool place but 09/26/2022 150
  • 151. Compounding of Powders  Powders are solid preparations intended for either internal or external use  The following types of preparation will be considered:  Bulk powders for external use (dusting powders):- dry, free-flowing preparations consisting of one or a mixture of fnely powdered substances and intended for external application  Bulk oral powders:- resemble dusting powders with the exception that they 09/26/2022 151
  • 152. Cont… 09/26/2022 152  Divided (Individual unit dose) Powders:- contain one or more active ingredients together with an inert diluents to produce minimum quantity that can be weighed by the dispenser and handled by the patient  folded in powder papers after preparation  waxed (waterproof) paper for hygroscopic, deliquescent or volatile ingredient containing powders
  • 153. Compounding method of powders 09/26/2022 153 The basic techniques are  weighing  Size Reduction  Mixing using the geometric dilution method  On a small scale the powdered ingredients may be mixed with a mortar and pestle